Provider Demographics
NPI:1508818790
Name:SADLER, NANCYE LYNN (NP)
Entity Type:Individual
Prefix:MS
First Name:NANCYE
Middle Name:LYNN
Last Name:SADLER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9001 DIGGES RD STE 104
Mailing Address - Street 2:
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20110-4414
Mailing Address - Country:US
Mailing Address - Phone:703-239-3602
Mailing Address - Fax:866-765-1362
Practice Address - Street 1:9001 DIGGES RD STE 104
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20110-4414
Practice Address - Country:US
Practice Address - Phone:703-239-3602
Practice Address - Fax:855-888-8410
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2021-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024165247363LF0000X, 207QA0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction Medicine
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1508818790Medicaid
VAP00044670OtherRAILROAD MEDICARE
VA8951641Medicaid
VA8951641Medicaid